ELLIE CAPRIA
Physician Assistant


Address: 225 Rector Pl # 14, New York, NY 10280-1116

ELLIE CAPRIA (Credential# 1079194) is licensed (Physician Assistant) with Connecticut Department of Consumer Protection. The license effective date is March 1, 2014. The license expiration date date is February 28, 2015. The license status is INACTIVE.

Business Overview

ELLIE CAPRIA is licensed with the Department of Consumer Protection of Connecticut. The credential number is #23.002792. The credential type is physician assistant. The effective date is March 1, 2014. The expiration date is February 28, 2015. The business address is 225 Rector Pl # 14, New York, NY 10280-1116. The current status is inactive.

Basic Information

Licensee Name ELLIE CAPRIA
Credential ID 1079194
Credential Number 23.002792
Credential Type Physician Assistant
Business Address 225 Rector Pl # 14
New York
NY 10280-1116
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2012-08-06
Effective Date 2014-03-01
Expiration Date 2015-02-28
Refresh Date 2015-06-09

Office Location

Street Address 225 RECTOR PL # 14
City NEW YORK
State NY
Zip Code 10280-1116

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City NEW YORK
Zip Code 10280
License Type Physician Assistant
License Type + County Physician Assistant + NEW YORK

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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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